MR. THAYNE ANDERSEN LCSW
NPI 1194909952
Social Worker - Clinical in Fort Hall, ID

Active since December 28, 2007
717 MISSION ROAD, FORT HALL, ID 83203(208) 237-5631(208) 237-5796 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Thayne Andersen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THAYNE ANDERSEN LCSW (NPI 1194909952) is an individual clinical provider in Fort Hall, Idaho, licensed in Idaho (LCSW-27518) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1194909952
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THAYNE ANDERSENCredential: LCSW
Location Address717 MISSION ROADFort Hall, ID 83203-0306
Mailing AddressPo Box 306Fort Hall, ID 83203-0306 · (208) 237-5631 · Fax (208) 237-5796
Fax(208) 237-5796
Sole ProprietorYes
Enumeration DateDecember 28, 2007
NPI 1194909952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · LCSW-27518
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
717 MISSION ROAD, Fort Hall, ID 83203

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
717 MISSION ROAD, COMMUNITY HEALTH NURSING PROGRAM
FORT HALL, ID 83203
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Clinic/Center
717 MISSION ROAD
FORT HALL, ID 83203
Registered Nurse (Ambulatory Care)
717 MISSION ROAD
FORT HALL, ID 83203
Clinic/Center (Multi-Specialty)
717 MISSION ROAD
FORT HALL, ID 83203
Podiatrist
717 MISSION ROAD
FORT HALL, ID 83203
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thayne Andersen's NPI number?

The NPI number for Thayne Andersen is 1194909952. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Thayne Andersen located?

Thayne Andersen practices at 717 Mission Road, Fort Hall, ID 83203. The listed phone number is (208) 237-5631.

What is Thayne Andersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Thayne Andersen was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.